Buro Happold Ltd. Healthcare hot topics 2010


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Buro Happold Ltd. Healthcare hot topics 2010

  1. 1. Healthcare sectorHot topics, approaches and case studiesThe engineering of excellence
  2. 2. Buro Happold Introduction Modern healthcare buildings need to satisfy a wide range of criteria: they must be constructed Collecting together our thoughts and learning from Buro Happold’s global network, a number quickly and economically and have a low carbon footprint; they must provide healthy environments of important themes have emerged and they are discussed in this document. As you will read, that promote recovery, while being able to adapt to future technologies and changes of use. They our thorough knowledge of the complex issues facing healthcare providers – together with our must also meet stringent requirements for energy performance, infection control, operational technical and creative skills – enable us to design optimal healing environments that meet the efficiency and inclusive access. needs of 21st century patients. Achieving these objectives requires innovative thinking, a commitment to good design and above If you have any queries regarding this document, or would like more information on the services all a practical awareness of what makes the sector tick. With growing evidence that a well thought- we provide, please do not hesitate to contact me. To find out more about our work in this and other out, comfortable and upbeat environment can have a highly positive impact on patient outcomes sectors take a look at www.burohappold.com and go to news > publications. – as well as staff morale – the challenge is to create high quality, appealing buildings that are also Andy Parker sustainable, easy to construct and economical to run. Global Sector Director, Buro Happold As multi-disciplinary engineers, Buro Happold believes that best value can be achieved through the andy.parker@burohappold.com integration of the structural, environmental and infrastructure elements involved in the design. This holistic approach is well suited to the specialised demands of the healthcare sector, where technical advances, new treatments and changes to acute and primary care provision are fast transforming healthcare delivery. Front cover: Evelina Children’s Hospital, London, UK Image: Buro Happold / Mandy Reynolds This page: Robin House Children’s Hospice, Balloch, UK Image: Buro Happold / Andrew Lee Back cover: Moorgate Primary Care Centre, Bury, UK Image: Miller Construction2 3
  3. 3. Project Showcase Delivering innovative solutions with world class architects Aldershot Centre for Health Pontefract General Infirmary Scottish Centre for Regenerative Medicine (SCRM) Moorgate Primary Care Centre Aldershot Garrison, UK Wakefield, UK University of Edinburgh, UK Bury, Lancashire, UK Architect: SR Architects Architect: Avanti Architects Architect: Sheppard Robson Architect: DLA Architecture Nuffield Hospital Prince Charles Hospital Evelina Children’s Hospital Leeds, UK Merthyr Tydfil, UK London, UK Architect: careyjones Architect: David Hutchinson Partnership Architect: Michael Hopkins and PartnersStanley Primary Care Centre Robin House Children’s HospiceStanley, Durham, UK Balloch, UKArchitect: Steffian Bradley Architects Architect: Gareth Hoskins Architects 5Nanoscience and Quantum Information Laboratory Bluestone Mental Health Unit Cynon Valley Primary Care Unit York University Biosciences Research FacilityUniversity of Bristol, UK Craigavon, N Ireland, UK Merthyr Tydfil, Wales York, UKArchitect: Capita Architecture Architect: David Morley Architects / Hall Black Douglas Architect: HLM Architects Architect: Anshen Dyer
  4. 4. The key issues An overview of our problem-solving capabilities in the healthcare sector 11 14 20 25 27 28 36 43 8 Optimal environments 18 Adding value 30 Sustainable design 38 Working in partnership Designing high quality environments Delivering functional buildings that Helping clients to meet sustainability Collaborating with the client and design suitable for world class healthcare achieve exceptional value targets and create positive working team to create 21st century healthcare 10 Lighting and ventilation: Effective lighting 20 Flexible construction and design: Flexible environments facilities and ventilation provides comfortable, healthy, healthcare buildings meet present needs while 32 Meeting carbon targets: Applying practical, low 40 Stakeholder and client involvement: Working low energy environments enabling future changes of use carbon strategies saves energy and reduces closely with clients and stakeholders ensures all 12 Acoustics: Sound is a major factor in creating the 22 Optimising performance: Analysing all aspects emissions patient requirements are met right conditions for rest and recovery of the building design satisfies performance 34 BREEAM and LEED assessment: Setting the 42 Multi-disciplinary working: Our comprehensive criteria while providing value for money 13 Controlling hospital infections: Infection standard for best practice in sustainable healthcare range of integrated services adds value to the control in hospitals can be promoted through 24 Fire safety: The safe management and design design process good quality, holistic design evacuation of patients in the event of a fire is a 35 Sustainable materials: Using the most crucial element in hospital design 14 Specialist care environments: Well-designed appropriate materials can have environmentalHealthcare hot topics, approaches and case studies healthcare facilities have a positive impact on 26 ICT: The need for a robust ICT infrastructure is a benefits and aesthetic appeal patient comfort and wellbeing vital part of modern healthcare facilities 36 Use of renewable energy sources: Renewables 16 Hospital security: Our specialist security team 27 Refurbishment: Re-use of existing stock can can contribute to meeting carbon targets and delivers integrated solutions to mitigate security satisfy the demand for services while operating reducing energy costs risks in healthcare buildings within strict budgets 28 Reducing energy costs in operation: Features that reduce energy consumption have both environmental and cost saving benefits 29 Post Occupancy Evaluation (POE): POE assesses buildings to optimise performance and reduce energy costs6 7
  5. 5. Buro Happold Optimal Environments Improving the healthcare experience through quality design Research has shown a clear link between the design of healthcare facilities and successful patient “Our challenge is to provide outcomes. The use of natural heating, lighting and ventilation, acoustic privacy and bright, spacious treatment areas create a comfortable and upbeat environment for recovery, while reducing world class healthcare operational energy costs and improving infection control. Delivering healthcare in ergonomically designed, accessible spaces also has a positive effect on medical staff, aiding recruitment, retention and productivity. environments that promote The growing cost of hospital treatment means that measures to optimise the internal environment can be Buro Happold is a pioneer in the use of sustainable strategies and technologies, including low energy patient care and aid recovery, very cost-effective in terms of faster patient throughput, facades, external shading systems, integrated building reducing the need for drugs and shortening the length services and passive climate control. Working closely of stay. High levels of daylight – as well as pleasant views with Trusts and other healthcare providers, our engineers of the outside – have been shown to be particularly and consultants are able to influence all areas of the while minimising running costs beneficial, helping to alleviate stress and improve sleep patterns. Openable windows also make a major contribution to occupant comfort by enhancing air design to create a balanced environment best suited to a building’s use, making it more sustainable and easy to maintain over its entire lifecycle. and environmental impact.” quality and controlling summertime heat gains. Steve Macey Associate Director, Buro HappoldHealthcare hot topics, approaches and case studies Image: Nigel Gallagher, Bluepost Photography Lanchester Road Hospital, Durham, UK8 9
  6. 6. Buro Happold Creating Optimal Healthcare Environments Lighting and ventilation Good lighting and ventilation are essential elements in creating a high quality healthcare environment that is CASE STUDY 1: comfortable at all times of year. Post-occupancy analysis has shown that daylighting and natural ventilation are Built at the site of Guy’s and also powerful tools in the reduction of carbon emissions, St Thomas’ Hospital, Evelina in addition to the benefits they provide in terms of Children’s Hospital brings together patient comfort and wellbeing. the Trust’s paediatric functions under one roof. The design philosophy behind this landmark Buro Happold’s approach is to ‘design out’ active systems project was to create a bright, airy and cheerful wherever possible in favour of passive environmental environment that would aid recovery, while strategies. Using thermal modelling techniques we providing the client with an efficient and cost- are able to analyse seasonal temperature variations effective healthcare building. Innovation and and examine in detail what impact elements such as close consultation with staff and patients was openable windows, glazing materials, shading systems key to delivering a hospital that is children- CASE STUDY 2: and blinds can have on air flow, night cooling and friendly and fun: patient care was firmly at lighting levels. Designed for the use of both civilian the centre of the design process, with careful and military personnel, Aldershot attention given to aspects such as materials, Centre for Health is the UK’s largest ambience, facilities and natural daylight. Primary Healthcare Centre. Catering for around A stunning four-storey atrium – or conservatory 2,700 patients a day, it provides an enhanced – forms the heart of the building and serves range of modern primary care facilities and as a focal communal area for children to play outpatient services. Around 25 user groups are and meet their families. Daylight is maximised accommodated within the building, all with through the fully glazed, steel curved roof that individual functional requirements for power, overlooks a park, bringing the view of sky and facilities, IT, security and future flexibility. The trees right into the building. Illuminated by design team therefore had to take into account light from the roof, the atrium provides not just not just the logistics of shared space and a functional space but also a spacious healing services, but also the need to protect the privacy environment to promote patient recovery. All and dignity of patients. Images: SR Architects the wards overlook the atrium and light reaches The scale of the polyclinic made it necessary every hospital bed, so even bed-ridden patients to focus on a sustainable and energy-efficient are able to enjoy the view. building services design that would create an appealing and comfortable environment forHealthcare hot topics, approaches and case studies occupants. The requirements were developed in close collaboration with staff and future users, and as a result of this dialogue the 13,000m2 four-storey building was planned around a central atrium that allows natural light to filter through the heart of the building to the Image: Buro Happold / Mandy Reynolds main waiting areas below. Glass block walls and open floor voids allow the light to filter through to the lowest level of the building. Buro Happold also carried out computer modelling to assess which of the internal areas – such as the GP consultation rooms – could be naturally Evelina Children’s Hospital, London, UK ventilated.10 11
  7. 7. Buro Happold Creating Optimal Healthcare Environments Creating Optimal Healthcare Environments Acoustics Infection control Sound is a major factor in creating the right conditions Hospital Acquired Infections (HAI) not only contribute This risk-based approach allows us to optimise the for rest and recovery – a quiet environment reduces stress to increased patient fatalities, they also cost the hospital environment, the provision of hand washing and is an important part of improving the quality of the health service considerable sums of money that could and sanitary facilities, segregation of high and low patient ‘experience’. Controlling noise and vibration helps otherwise be used to fund treatments or improve infection risk areas, ward surface finishes, ventilation to maintain privacy and can even mean that patients need healthcare capability. The main costs attributable to HAI and the control and management of clinical waste. fewer drugs to sleep. Vibration levels can be a particular include increased length of patient stay – estimated at Throughout the planning process we liaise closely with issue for laboratory environments, as they may affect the two and a half times longer than that for uninfected the hospital’s infection control team to establish the accuracy of sensitive equipment. patients – and additional antibiotic therapy. optimum solution that offers the best potential outcome for patients. Our specialist acoustics team advises on core issues such Research has shown a clear link between HAI incidence as room acoustics, insulation, building fabric and facades, and hospital occupancy, cleanliness and ward layout: as well as the acoustic impact of low energy strategies the evidence suggests that infection control can be such as thermal mass. Using advanced 3D computer improved through a combination of good design, better modelling and auralisations to assess the acoustic facilities management and improved clinical hygiene. environment within a ward or other clinical area – as Using a unique HAI risk assessment tool developed by well as external noise break-in – we are able to guide the Buro Happold, our team is able to assess the relative design to help our clients meet the required acoustic performance of alternative building designs with performance targets. varying infection control risks. Scanning electron micrograph (SEM) depicting numerous Image: Liz Eve / fotohaus clumps of methicillin-resistant Staphylococcus aureus bacteria, Images: Buro Happold Results of a two- dimensional Finite- commonly referred to by the acronym, MRSA; Magnified 9560x. Element model, showing Nanoscience and Quantum Information (NS & QI) a stress wave propagating Laboratory at the University of Bristol, UK out from a sharp impact. CASE STUDY 3: Buro Happold has been part of the design and laboratories have been designed to commissioning team for the state-of-the-art provide vibration and acoustic noise Nanoscience and Quantum Information (NS & QI) performance levels that are amongst theHealthcare hot topics, approaches and case studies Laboratory at the University of Bristol. The building lowest achieved anywhere in the world. is home to an inter-disciplinary research community drawn from science, engineering and medicine, Buro Happold’s vibration and acoustics specialists bringing together the best minds in the field of measured and assessed the performance of the labs nanotechnology. under various conditions. We advised the university on ways in which the building could be made The city centre location of the state-of-the-art even quieter, using advanced numerical modelling laboratory led to various challenges to ensure that techniques to test proposed enhancements and the building was suitable for the highly sensitive inform the design process. Detailed investigations equipment used inside. Novel techniques were were carried out into the possible effects on the labs required to isolate the laboratories from the local when constructing new buildings in the immediate sources of vibration and acoustic noise, such as vicinity. traffic, footfall and plant machinery. The scientific12 13
  8. 8. Buro Happold Creating Optimal Healthcare Environments Specialist care environments CASE STUDY 5: The opening of the Bluestone Mental Health Unit at Craigavon was hailed as a major step forward in the development and modernisation of the mental health service in Northern Ireland. Built on a greenfield site within the boundaries of the local hospital, this modern, low-energy building has 75 single en-suite rooms which benefit patient care and create a tranquil, safe, dignified and homely environment for recovery. From the “I’m delighted that Bluestone has been outset the design concept was for a building that blended seamlessly with the landscape in order recognised with a national design award. Images: Buro Happold / Andrew Lee to exploit their combined therapeutic potential. It’s a tremendous achievement and I’d like In mental health units it is vital to have an to congratulate everyone involved.” internal environment that is non-threatening, Colm Donaghy Chief Executive, Southern Health and Social Care Trust so the entire building is single storey and on an inviting domestic scale. As the structural Robin House Children’s Hospice, Balloch, UK and building services engineer, Buro Happold CASE STUDY 4: worked closely with the architect to help realise this vision. High glazed panels connect the Well-designed healthcare facilities have a clear positive Robin House in Balloch is a interior and exterior spaces, providing views impact on patient comfort and wellbeing, contributing purpose-build children’s hospice onto landscaped courtyards, and the unit is to a better quality ‘patient journey’ as well as promoting which provides care and support for primarily naturally ventilated. Flexibility in the efficient operation and performance. Above all, they children with life limiting conditions and their design ensures that bed capacity can be reduced must be able to meet the complex health needs of their families. To meet the unique challenges, Buro in response to future changes, such as a shift local population and play a pivotal role in the wider Happold’s design team created an aesthetically towards community-based services. community. Drawing on our extensive experience in the pleasing structure which blends naturally into its design and construction of a diverse range of specialist picturesque National Park setting. The elegant The project won a prestigious Building Better healthcare buildings, we are focused on providing the atrium ‘wave’ roof – consisting of four separate Healthcare (BBH) award in 2008, coming first in best outcomes for patients and staff in safe, sustainable ribbons clad in plywood – appears to float above the Best Mental Health Design category. and therapeutic environments. the timber facade, an illusion created by the use of supporting flat steel plates. Full height glazing provides an abundance of natural light andHealthcare hot topics, approaches and case studies allows views over the surrounding countryside. Natural ventilation has been adopted wherever possible in the hospice, with mechanical ventilation in the deep-plan central spaces and a displacement strategy used in the seminar room Images: Buro Happold / Christopher Hill to maintain comfort and air quality conditions during peak occupancy. Underfloor heating has been used in many of the large ‘day’ spaces such as the central play area and the family, dining and entrance areas to create a warm, comfortable environment without the intrusion of radiators. Bluestone Mental Health Unit, Craigavon, N Ireland, UK14 15
  9. 9. Buro Happold Creating Optimal Healthcare Environments Hospital security Healthcare facilities have complex security requirements and are faced with a range of risks and threats to its CASE STUDY 6: staff, patients and property – especially in ‘frontline’ departments such as A&E and maternity. To mitigate Security was identified as a key issue the security risks, our specialist security team delivers in the design of new ward facilities integrated solutions that can typically be tiered from at Prince Charles Hospital, a district entry to the site to personal safety measures. These hospital serving the North Glamorgan area of Image: Buro Happold / Alan McAteer include intrusion detection, access control, baby Wales. After carrying out an initial review of tagging, ward and external CCTV, swipe card and panic the security measures and existing systems alarm systems. By working closely with the client and deployed within the hospital, Buro Happold’s architect we are able to reduce reliance on purely security team proposed a scope of works that technological solutions and promote safety and security incorporated major mitigation solutions such in other, non-technical ways, such as providing clear as CCTV, intrusion detection, access control, way-finding for visitors or ensuring good sight lines from locking systems, off-site communication and the provision of a control room. The whole Image: Wilky Healthcare the nursing stations. technology platform was then integrated via a Security Management System to ensure it operated seamlessly, allowing staff to deal with security incidents in a more controlled way. Aldershot Centre for Health, Aldershot Garrison, UK Before design commenced we benchmarked the existing and proposed solutions against those used on other NHS projects to ensure best CASE STUDY 7: value. Having a simple, integrated and easy to manage front end system reduced the need Opened in 2008, the Aldershot Centre for Health The stringent security partitioning for security manpower and added value for the was conceived as a joint partnership between three requirements of the Army and the client in other ways: one of the innovations we local Primary Care Trusts and the town’s 5,000-strong three Trusts required a novel approach introduced was a ‘baby tagging’ alarm system Army garrison, who occupy a separate 28-bed in- to the system design. After thorough discussions for the new maternity unit extension, used for patient facility within the building. The challenge for with all parties, Buro Happold’s security specialists ensuring babies and infants are not removed the design team was to deliver a fully functioning developed a strategy based on shared systems illicitly from the wards. The system was fully health centre while maintaining the required but on segregated infrastructures. The access integrated into the access control and CCTV security segregation between the military, public control, CCTV and intrusion detection systems were systems, with alarms to the local nurse station and medical areas. Not only were there a diverse integrated with a front end security management and main control room. range of user groups to consider, but also the issue system that facilitated dual control rooms for theHealthcare hot topics, approaches and case studies of ‘after hours’ access to specific areas of the building different stakeholders. To maintain security in for community activities or by medical personnel restricted areas, a sophisticated door entry access – such as district nurses and ‘on call’ doctors – who system was devised using swipe cards to enter have to access patient information on a 24-hr basis. departmental ‘zones’ and then individual rooms. In this way operational needs were met despite the irregular usage patterns. Prince Charles Hospital, Merthyr Tydfil, UK16 17
  10. 10. Buro Happold Adding Value Getting more from your investment in the long term Medical and scientific advances continue to re-define the nature and duration of hospital care, “As a multi-disciplinary as well as the size and layout of healthcare buildings. But with pressure increasing on public and private funding in the next few years, the need to control construction and operational costs is vital practice we can add value on every new development. Together with patient throughput and carbon management, getting more value from capital investment has become one of the key issues now driving the sector. and expertise throughout the Buro Happold is in a unique position to help healthcare Speed of construction and flexibility are both key factors providers face the future with confidence: our design in modern healthcare design – the way hospitals are solutions are easily constructed, environmentally operated can change over time, so the building has responsible, efficient in their use of energy and deliver to be able to adapt to change. To cater for new room design and planning process, exceptional value throughout the project life cycle. Our aim is always to be innovative and responsive to client needs, identifying engineering challenges early on to layouts and equipment, flexibility is designed into wards and other areas from the outset, giving users more choice and reducing future building costs and service advising on the most economical minimise risk and future costs. In particular, we recognise disruption. This flexible, value-added approach is also that hospitals and clinics must be able to meet the applied to the construction process itself through the demands of changing technology and new approaches use of fast-track methods such as off-site prefabrication. solutions to achieve the best to healthcare provision. patient outcomes.” Simon Bourke Group Director, Buro HappoldHealthcare hot topics, approaches and case studies Image: Bailey Garner Lanchester Road Hospital, Durham, UK18 19
  11. 11. Buro Happold Adding Value St Peter’s Hospital, Chertsey, UK Flexible construction Buro Happold is able to add value by designing additional cleanliness and infection control problems. “Moving much of the healthcare facilities that are both adaptable to future To deliver economical and future-proof solutions changes of use while being cost-effective to build and we consider key aspects such as flexibility of space construction work off-site maintain. Flexibility is essential to achieving long-term planning, accessible primary services distribution, the allowed us to expand the value and lower operating costs – tightly constrained standardisation of structural elements, use of off-site layouts soon become obsolete and major remodelling prefabrication and the future planning of facilities at St Peter’s with can be highly disruptive in hospitals, as well as creating ICT connectivity. as little disruption to the running of the hospital as possible.” CASE STUDY 8: Peter Curtis Capital Projects Manager, Ashford and St Peter’s Hospitals NHS Trust The impressive new Stanley Primary Care Stanley PCC and Lanchester Road Centre in County Durham has been designed to Hospital together form the Durham and provide a wide range of healthcare services to Derwentside PFI project. Lanchester the town’s population and the surrounding area Road provides adult mental health and learning in an appealing and well equipped environment. disability services and has been designed to provide The structure has been constructed to allow total a safe, pleasant and therapeutic environment for Image: Buro Happold flexibility for future re-configuration of room patients. As at Stanley, future flexibility has been layouts to suit the changing requirements of the achieved by adopting relatively simple structural healthcare Trust. A long span steelwork frame and systems that are cost-effective and efficient while a pre-cast concrete floor structure create generous enhancing the architectural concept. The majority column-free spaces, while lightweight demountable of internal walls are non-load bearing, providing the partitions form the internal walls. The ease of option to remove certain walls without the need CASE STUDY 9: moving the walls, coupled with the lack of primary for costly – and disruptive – structural works at a structure, has resulted in a building that is adaptable later date. Following our initial appointment to deliver together and installed over a series of to changes of use as well as being fit for purpose. the masterplan for the redevelopment and weekends. Buro Happold completed reconfiguration of two hospital sites at Ashford the M&E fit-out and the building was and St Peter’s Hospital in Chertsey, Buro Happold then clad in brickwork and cedar boarding to provided multi-disciplinary services for a new day create an attractive finish. The whole process from surgery unit and a two-storey, 56-bed ward block specification to admitting patients into the wards at the St Peter’s site. The requirement was to deliver took just 12 months – an extremely quick timescale these buildings on a fast track programme, so the for an NHS project of this nature. decision was taken to adopt modular constructionHealthcare hot topics, approaches and case studies as the preferred procurement option. Given the Earlier, Buro Happold had been commissioned constraints of working in a confined site, it was also by Welsh Health Estates to do an appraisal of felt that this approach would have less impact on volumetric (modular) construction in the health the hospital’s day-to-day operation. service. This involved lifecycle costing analysis and Image: Nigel Gallagher, Bluepost Photography research into the pros and cons of modular design, Following tendering and design, the two buildings giving us a clear insight into the issues involved that were manufactured off-site by modular specialist we were able to put to practical use on this project. Yorkon, minimising disruption to hospital staff and patients and removing the need for decanting. The modular units were driven to the site, then bolted Stanley Primary Care Centre, Stanley, UK20 21
  12. 12. Buro Happold Adding Value Pinderfields Hospital, Wakefield, UK Optimising performance Drawing on a blend of experience and technical know- how, Buro Happold delivers fully integrated, safe, CASE STUDY 10: reliable and sustainable design solutions that satisfy the specified performance criteria while providing maximum Combining a wide range of value for money. To achieve a high level of occupant healthcare facilities in one state-of- comfort – without a corresponding high energy usage the-art building, Aldershot Centre – we analyse all aspects of a building’s design to ensure for Health is the UK’s largest example so far that the structure works in harmony with other elements of the new multi-purpose polyclinic model. in the design, from the building services and passive Situated between the town centre and the strategies to the facade materials and shading systems. military garrison, the four-storey building is cut into the hillside creating a main entrance at first floor level, allowing visitors to navigate up or down just one level to find the right clinical department. The site is also heavily wooded, so a principal design concern was that the project objectives were delivered in a manner that avoids damage to the environment while being as sustainable and energy-efficient as possible. High thermal insulation of the fabric means that the predicted energy consumption is below the government target of 55GJ/100m³/annum. The building was configured to maximise opportunities for passive design: a large atrium in the centre of the building allows daylight to flood the main waiting hall, while many of the clinical rooms on the upper floors are naturally ventilated. Where mechanical ventilation was required, the M&E design was optimised to CASE STUDY 11: ensure maximum efficiency: heat recovery is Due to open in 2010, Pinderfields Hospital and energy targets while meeting the patient used on all systems, electric motors are high Pontefract General Infirmary are two new state of comfort criteria set down in the HTMs. efficiency types, fan and pump motors are the art hospitals that together comprise a Rooms are naturally ventilated wherever inverter driven and heating controls are weather £300 million PFI scheme to transform healthcare possible to optimise the quality of the internal compensated. Low energy lighting was usedHealthcare hot topics, approaches and case studies provision in the Wakefield region. The 84,500m2 environment and improve performance, with a throughout, and a Building Management System 700-bed Pinderfields Hospital will include 17 ‘mixed mode’ approach taken in areas that need is used to control local conditions. operating theatres, A&E and specialist units. to be ventilated or cooled for part of the day or Pontefract is mainly an outpatient facility, with A&E, year. Natural daylighting is combined with energy- diagnostics and short stay surgery. A sustainable efficient lighting and control systems to reduce approach to the construction has been taken electricity consumption. Buro Happold also carried from the outset, utilising methods such as off-site out thermal modelling of the facade and building fabrication and re-using materials where possible fabric to ensure there is less heat loss, and therefore in order to minimise waste and conserve natural less energy used up from heating systems. resources. Images: SR Architects The key objective in the environmental design of the two hospitals was to achieve the required Aldershot Centre for Health, Aldershot Garrison, UK22 23